Cervical Cancer Mimicry in Pregnancy: Condyloma Acuminatum Case and Cryotherapy Treatment

What is it about?

This case report describes a pregnant woman at 14 weeks of gestation with a cervical condyloma acuminatum that mimicked cervical cancer. The lesion was highly likely to be malignant during her first visit to another hospital. A diagnosis of cervical squamous cell carcinoma (SCC) was considered until the pathology report confirmed that the lesion was a condyloma acuminata. The treatment for condyloma acuminatum was cryotherapy, which is recommended as first-line therapy for its non-requirement of anesthesia and low risks of local complications and danger to the fetus. The patient delivered a healthy baby through cesarean section due to a previous surgical scar. The report emphasizes the importance of pathological confirmation for a condyloma diagnosis and the need for serial follow-up after cryotherapy to determine treatment efficacy and the need for further treatment sessions.

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Why is it important?

Raising awareness: This case report highlights the importance of recognizing condyloma acuminata, especially in pregnant women, to avoid misdiagnosis and ensure appropriate management. Improved patient outcomes: Understanding the role of cryotherapy as a first-line treatment for condyloma acuminatum in pregnant women can lead to improved patient outcomes, as it is a safe and effective method with low risks of complications. Vertical transmission prevention: Treating maternal condyloma lesions can help decrease the overall HPV viral load, thus reducing the risk of vertical mother-to-child transmission. Key Takeaways: 1. Condyloma acuminata can mimic cervical cancer, especially in pregnant women, emphasizing the importance of accurate diagnosis and management. 2. Cryotherapy is the preferred treatment method for condyloma acuminatum during pregnancy due to its safety, low risk of complications, and effectiveness in managing the condition. 3. Treating maternal condyloma lesions can help prevent vertical transmission of HPV to newborns, contributing to public health efforts in disease prevention.